Individual
LEIGH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W MAIN ST, SUITE 21, DOTHAN, AL 36305-1054
(334) 944-7070
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-126965
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-126965
AL
Other
Enumeration date
12/21/2015
Last updated
05/20/2016
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